MISS KELLY ROSE FITZGERALD (NPI# 1861755613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861755613 |
| Entity Type | Individual |
| Full Name | MISS KELLY ROSE FITZGERALD |
| Credential | MOT, OTR/L |
| Practice Address |
2110 Ben Craig Dr Ste 300 Charlotte NC 28262-2302 |
| Mailing Address |
6613 Bobbie Ln Indian Trail NC 28079-6539 |
| Practice Telephone | 7045959363 |
| Practice Fax Number | 7045959365 |
| Mailing Telephone | 9802295301 |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2016-10-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 10673 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518502228 | Kelly Fitzgerald | Occupational Therapist | 1100 Sherwood Park Dr Ne Ste 220, Gainesville, GA 30501-3426 | 2019-11-18 |
| 1730565581 | Kelly Fitzgerald | Specialist | 4 Arlington Ave, Saint James, NY 11780-2802 | 2015-08-04 |
| 1114271178 | Kelly Ann Fitzgerald | Physical Therapist | 2150 La Dawn Lane Nw, Atlanta, GA 30318 | 2012-10-30 |
| 1659804557 | Kelly Nicole Fitzgerald | Student in an Organized Health Care Education/Training Program | 505 Parnassus Ave Rm M-987, San Francisco, CA 94143-2204 | 2017-04-06 |
| 1477909471 | Kelly Fitzgerald | Student in an Organized Health Care Education/Training Program | 1275 York Ave, New York, NY 10065 | 2016-05-09 |
| 1508260613 | Kelly Fitzgerald | Occupational Therapist | 484 Main St, Worcester, MA 01608-1893 | 2014-10-17 |
| 1184025967 | Kelly Fitzgerald | Counselor | 545 Westminster St, Fitchburg, MA 01420-4727 | 2014-09-11 |
| 1801133616 | Kelly Fitzgerald | Specialist | 1000 Eddy Street, Providence, RI 02905 | 2013-01-14 |
| 1417201641 | Kelly Irene Fitzgerald | Marriage & Family Therapist | 1735 Mission St, San Francisco, CA 94103-2417 | 2012-11-09 |
| 1346516689 | Kelly M Fitzgerald | Pediatrics | 3020 Childrens Way, San Diego, CA 92123-4223 | 2012-03-30 |
| Street Address |
2110 BEN CRAIG DR STE 300 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28262-2302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255801411 | Kayla Briscoe | Occupational Therapist | 2110 Ben Craig Dr Ste 300, Charlotte, NC 28262-2302 | 2018-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366056913 | Aleta Michelle Johnson | Specialist | 9711 David Taylor Dr., Ste. 145, Charlotte, NC 28262 | 2020-09-01 |
| 1275161580 | Londyn Homecare Agency L.l.c | Home Health | 1914j.n. Place, Charlotte, NC 28262 | 2020-03-31 |
| 1154964914 | Abundant Love Home Care Service LLC | In Home Supportive Care | 1981 J.n. Pease Place, Ste 204, Charlotte, NC 28262 | 2019-10-24 |
| 1104399070 | Nattya S Pilgreen | Prosthetist | 410 E Mccullough Drive, Suite 103, Charlotte, NC 28262 | 2019-01-03 |
| 1114404506 | Laura Ida Anthony-getant | Social Worker | 10130 Mallard Creek Road, Ste 300 #333, Charlotte, NC 28262 | 2018-07-27 |
| 1720573587 | Carolinas Center for Ambulatory Dentistry LLC | Dentist | 8415 Medical Plaza Drice, Charlotte, NC 28262 | 2018-06-25 |
| 1598254799 | Cassandra Faye Harding | Nurse Practitioner | 1905 Jn Pease Place Suite 103, Charlotte, NC 28262 | 2018-05-03 |
| 1669960746 | Michael Riley | In Home Supportive Care | 8301 University Exec Park Dr Ste 120, Charlotte, NC 28262 | 2018-04-25 |
| 1568989804 | Bridget Coomber | Behavior Technician | 8420 University Executive Dr Ste 810, Charlotte, NC 28262 | 2017-08-28 |
| 1073037701 | Toshana Daley | Physical Therapist | 8801 Jm Keynes Blvd, Charlotte, NC 28262 | 2017-08-03 |
| Find all providers in zip 28262 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588279863 | Jessica Laser | Occupational Therapist | 8819 Norway Ct, Charlotte, NC 28269-5180 | 2020-09-13 |
| 1700424397 | Elizabeth Gendernalik | Occupational Therapist | 1027 Healthcare Dr, Charlotte, MI 48813-1056 | 2019-12-15 |
| 1598302937 | Brigit Boyce | Occupational Therapist | 8848 Red Oak Blvd, Ste Aa, Charlotte, NC 28217 | 2019-12-04 |
| 1144865734 | Darci Pernoud | Occupational Therapist | 13000 S Tryon St Ste F-349, Charlotte, NC 28278-7652 | 2019-11-07 |
| 1619527199 | Paige Nicole Chester | Occupational Therapist | 206 Livingstone Falls Dr Apt 212, Charlotte, NC 28217-5247 | 2019-09-16 |
| 1528628823 | Happy Kids Therapy | Occupational Therapist | 11012 Knight Castle Dr, Charlotte, NC 28277-0212 | 2019-06-18 |
| 1861957235 | Rachel Floren Payne | Occupational Therapist | 2142 Commonwealth Ave Apt 423, Charlotte, NC 28205-5177 | 2019-02-09 |
| 1497234611 | Benchmark Physical Therapy of Nc, LLC | Occupational Therapist | 16139 Lancaster Hwy Ste 140, Charlotte, NC 28277-2033 | 2018-08-08 |
| 1023520558 | Brittany Stanton | Occupational Therapist | 2301 Crownpoint Executive Dr Ste 3, Charlotte, NC 28227-7824 | 2017-10-24 |
| 1871016816 | Monarch | Occupational Therapist | 1810 Back Creek Drive, Charlotte, NC 28213 | 2017-07-21 |
| Find all providers in CHARLOTTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.